2014 pay review
Doctors’ pay must be fair and reflect the vital role they play across the NHS, the BMA has said in its evidence to the Doctors and Dentists Review Body (DDRB).
The BMA argues that despite playing a leading role in maintaining high quality care across the NHS in the face of budget cuts and rising demand, doctors have faced a series of pay freezes and below inflation rises cutting their pay in real terms.
Since 2009 doctors’ pay in England has risen by just 5.5 per cent compared to other NHS staff who have had greater increases such as nurses (7.5 per cent) and NHS managers (12.9 per cent).
The BMA also believes the DDRB should retain its independence and disagrees totally with the Government’s imposition in relation to a continuing cap on pay. We are calling on the DDRB to recommend a minimum increase in line with inflation.
Following the government imposition of a new GP contract this year, recent BMA survey results revealed around 90 per cent of 3,629 GPs expected their practice funding to decline and expenses to increase. In fact, the gap between GPs’ income and expenses has increased consistently in the four years since 2008.
As highlighted in the graph above, GPs saw an 11 per cent drop in income during this period. Over the same time, there has been a 2.3 per cent rise in the proportion of GP partners’ earnings spent on expenses – from 59.3 per cent in 2008/9 to 61.6 per cent of their total income in 2011/12.
Last year, the government ignored DDRB recommendations to uplift the GP contract value to reflect these increasing expenses. Now, the BMA has made it clear in its evidence to the DDRB that it is ‘unnecessary and inappropriate’ to apply further efficiency savings on the formula for the contract uplift for GPs.
The BMA wants the DDRB to continue with the formula for now but, next year, hopes to work with the review body on a research project to identify the most accurate measures of expenses inflation to include within a revised formula.